| NPI | 1063163954 |
|---|---|
| Doing Business As | NORTH STAR PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NINUS EBRAHIMI Managing Member 818-624-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-03-16 |